Initial Registration Application

Instructions

Send transcript(s) of marks from university(ies) in sealed envelope or request that university send them directly to NSDA.

Incomplete applications will be denied. Applicants should note that approval of a completed application, including all required documents, may take up to four weeks. If your application is denied, your registration fee will be returned and you will be advised of the reason(s) for the decision and the appeal process

If your cheque is returned because of insufficient funds (NSF), the application will be held back until payment is honoured. An incomplete application or NSF cheque will delay the processing of your application. There is a penalty of $25.00 for NSF cheques.

Documents

If you will be uploading a copy of your birth certificate or citizenship documentation with this application, please make sure it is scanned in PDF or JPG format before you begin.

Alternatively, you can send your copy of your birth certificate or citizenship documentation by regular mail but this will considerably lengthen the time for processing.

Required Documents

These documents are required in order to complete the application.

Copy of birth certificate or citizenship documentation

An official transcript of all pertinent courses. Transcripts must be sent to NSDA in a sealed envelope or sent directly to NSDA from the university.

If your university transcript does not yet state that you have met degree requirements, provide a verification letter from the university indicating completion of degree requirements

Situation Specific Documents

If English is not first language, proof of English language proficiency may be required.

I have all needed documents and am ready to complete my application

Create Your Account

Email

Password

Password Again

Class of Registration

Class of Registration

Full: Has met basic requirements of the profession and is able to practise in the profession in Nova Scotia.

Temporary: A temporary member has met all registration requirements (with the exception of the examination). This application for temporary membership is also the application to take the next sitting of the Canadian Dietetic Registration Exam.

I have unsuccessfully written the Canadian Dietetic Registration Examination in the past.

Date of Exam

Exam Preferences

What is your language of choice for taking the CDRE?

In which province do you intend to take the CDRE? (Notify NSDA if this changes).

Do you require a special accomodation?

Yes

No

If yes, complete and submit Form for Candidates Requiring Special Accommodation, found in the CDRE Preparation Guide to NSDA.

Language ProficiencyIf your first language is not English, documentation of English proficiency may be required.

First Language

Will you be able to provide professional services in (Check all that apply)

English

French

Other

Other language 1

Other language 2

Other language 3

Other language 4

Academic Qualifications

Name of Institution

Name of Institution

Program Type

Degree/Diploma/Certificate Obtained

Year Started

Year Completed

Address

City

Province

Postal Code

Country

Practical Training

Program Name:

Program Director

Year Completed

Address

City

Province

Postal Code

Country

Information on Good Standing and Prior RegistrationYou must answer these questions as they are required to help establish good character and reputation as outlined in Section 9(1)(a) of the Professional Dietitians Act.

Have you been found guilty of a criminal offence (or an offence under the Food and Drugs Act (Canada)) or the Narcotic Control Act (Canada) or Controlled Drugs and Substances Act or Criminal Code?

Yes
No

Please provide details

Have you been found guilty of professional misconduct, incompetence, negligence or incapacity in Nova Scotia or any other jurisdiction in relation to the practice of dietetics or any other profession?

Yes
No

Please provide details

Are you presently or have you previously been registered with another dietetic or health profession (e.g. nursing) regulatory body in or out of Canada? List regulatory body name along with date of last registration and registration numbers.

Yes
No

Please provide details

Have you previously been registered with the Nova Scotia Dietetic Association? If yes, please provide date of last registration and registration number.

Yes
No

Please provide details

Are you the subject of any current proceedings for professional misconduct, incompetence, negligence or incapacity?

Yes
No

Please provide details

Employment

For the purpose of assessing currency of professional knowledge and skills, have you actively practiced as a dietitian or nutritionist for at least 800 hours within the last three years?

Yes
No

What is your current employment status?

Current EmploymentPlease provide details of your current employment or volunteering positions.

I do not wish to have my employment contact information made available to other members.

From Date

Employer Name

Position Type

Division/Site/Campus

Country

Province

Postal Code

City

City

Address

Phone

Fax

Department

Name of Manager/Supervisor

Title of Manager/Supervisor

Employer Type

Employment Time Status

Employment Category

Job Title

Please describe briefly what your job duties will be and/or the area in which you will practice.

Dietitian or regulated health professional is required in this role

Yes
No

Do you have previous employment as a dietitian in any jurisdiction at any time in the past?

You understand that you may be required to provide further documentation and information and undertake other assessments in order to determine eligibility for registration with NSDA, and that the regulatory body will contact you if additional documentation is necessary,

You provide consent for NSDA to disclose personal information to third parties and for third parties to disclose personal information to NSDA that may be necessary for NSDA to process your application and verify the information that you have provided,

You are aware that you may not practice or use protected titles Dietitian, Nutritionist or the initials P.Dt. in Nova Scotia until you have been formally notified by NSDA that you are entitled to do so,

You are aware that you may not begin employment as a dietitian until you have been formally notified by NSDA that your application has been approved.

You are aware that personal information requested on this form is used for the purposes of administration of Labour Mobility Agreements with other regulatory authorities, administration of the Canadian Dietetic Registration Examination, and generally for regulatory activities under the Dietitians Act. You consent to the collection, use and disclosure of your personal information for such purposes.